NPI | 1487171088 |
---|---|
Doing Business As | AURORA CHILDREN'S DENTISTRY |
Entity Type | Organization |
Authorized Contact | MARK JAMES MCLEAN President 907-336-1234 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: AK 10064075) |
Enumeration Date | 2017-08-24 |
Last Update Date | 2022-07-21 |